DR. DAVID DARRELL LARSON DMD
NPI 1174691752
Dentist in Rockford, IL

Q: What is David Larson's NPI number?

The NPI number for David Larson is 1174691752. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Q: What is David Larson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for David Larson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 01, 2006PECOS Enrolled

6415 FOREST HILLS ROAD, ROCKFORD, IL 61114(815) 654-9552(915) 654-7521 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. David Darrell Larson Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID DARRELL LARSON DMD (NPI 1174691752) is an individual dentist in Rockford, Illinois, licensed in Illinois (01916418) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174691752

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. DAVID DARRELL LARSONCredential: DMD

Location Address6415 FOREST HILLS ROADRockford, IL 61114

Mailing Address6415 Forest Hills RoadRockford, IL 61114 · (815) 654-9552 · Fax (915) 654-7521

Phone(815) 654-9552

Fax(915) 654-7521

Sole ProprietorNo

Enumeration DateDecember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174691752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 01916418

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

6415 FOREST HILLS ROAD, Rockford, IL 61114

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Darrell Larson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Larson's NPI number?

The NPI number for David Larson is 1174691752. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is David Larson located?

David Larson practices at 6415 Forest Hills Road, Rockford, IL 61114. The listed phone number is (815) 654-9552.

What is David Larson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is David Larson enrolled in Medicare?

Yes. David Larson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Larson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.